Well folks, someone had to take this on.

So why not a consortium of Amazon, Berkshire Hathaway and J.P. Morgan Chase to try to figure out and tackle the intractable Health Care problem in the US.

At the gist of it, the problem on supply side of the equation involves the incentive system.

The incentives of the service providers (hospitals, physicians, labs etc), the payers (private insurance, Medicare, Medicaid) and the pharmaceutical industry are not aligned with the real overall long term well-being of the patients.

On the demand side of the equation, patients themselves are not empowered, educated or incentivized to take charge of their own health.

Large corporations are usually self insured. Meaning that the claims are paid by the corporation. However, they do hire a service provider to manage the healthcare plan. Like Anthem, United Health, Aetna etc.

So in this case, this consortium of Amazon, Berkshire and JPMorgan, will instead create its own administrator as a non profit.

Second, They will also most likely be a provider as well by building their own hospitals and hiring staff. Could be a non profit as well.

Third, the patients (the employees of the three firms to begin with) will be incentivized to really care for their own health for the long term.

Last but not least, this consortium will roll out this system to other interested corporations or even patients directly. How about $2,000/year per person for continuous monitoring of ones health and proactively addressing issues?

Whole Foods might be leveraged to be part of this solution. Perhaps ship stuff on demand to address issues identified by this self monitoring system.

Now we know the real reason for why Amazon acquired Whole Foods.

Health Care Maintenance As a Service offering once the service matures in its internal operations in collaboration with Berkshire and J.P. Morgan and Chase.

This is Very similar to the strategy Amazon used with AWS. System was first developed for its own retail operations and then sold as a service to others. Now half the internet is hosted on Amazon including Netflix!

The big news on immigration reform this week wasn’t DACA.

It was the so called Immigration Innovation (ISquared) Act of 2017 being reintroduced in the Senate by Senator Orrin Hatch (R) of Utah.

The innovation in this Senate Bill that caught my attention was the following:

Prohibitions on Replacement: Prohibits employers from hiring an H1B visa holder with the purpose and intent to replace a U.S. worker.

The intent is good here but the wording is very vague and open to lot of interpretation.

The Real Immigration Innovation would consist of a robust system that ensures the intent of the above which is, or should be if it is not, that American workers are not being short changed.

I propose the following to address this issue:

Let us create a national system for matching jobs to job seekers using, you guessed it, Blockchain!

Step 1: All US employers post all jobs in this system. Required. Not optional. Real job postings, not fake ones to eliminate US workers.

Step 2: All US Citizens seeking employment would register in this first system that automatically checks all credentials and does background checks.

Step 3: The system would match the jobs to candidates and select top 10% for further screening. The employer can decide who they want to interview in person and make selection.

Step 4: If none found, the job gets posted into a second layer where legal US residents (Green cards holders) go through the same process.

Step 5: Job gets posted to a third layer where other legal US residents (ie other than Green card holders) can apply. This would include F1 Visa students, H1B workers, H4 dependents etc. If selected, they get a temporary green card. No work visa or H4EAD or OPT needed.

Are we at the cusp of a historic structural shift of the same magnitude as the Reaganomics due to the Tax Cuts And Jobs Act passed last year 2017?

Tremendous investment by companies from all over the world being made in America. There has never been anything like it. Now Disney, J.P. Morgan Chase and many others. Massive Regulation Reduction and Tax Cuts are making us a powerhouse again. Long way to go! Jobs, Jobs, Jobs!

China and India have always been the world largest economies by virtue of the fact that those two subcontinental areas, since national boundaries are a more recent phennomenon, have always had the largest populations for the past few thousand years.

Then Europeans took over. Followed by Britain. Then the Americans. Japan had its roaring 80s and then fell into a deflation malaise.

Most of these economic shifts were due to trade, industrialization and currency.

Now once again we are in the midst of tectonic shifts in the world economy. Most of it is due to technology and obviously population and demographics play a role as well.

China overtook Japan to become the world’s second largest economy a decade or so ago. Will soon be largest overtaking the United States by 2032 I hear.

This year, 2018, is when India is expected to or already has over taken France and United Kingdom to become the world’s fifth largest economy.

This is a watershed moment. India overtaking its former colonist, mighty Britain, to become world’s fifth largest economy.

Prime minister Narendra Modi’s Make In India initiative and later de-monitization most likely will pave the way for future growth even though it (de-monetization) did cause a temporary setback.

The US Tax Code change and currency fluctuations could provide some challenges especially to the now quite mature IT export sector.

The multinational corporations that have a large USD denominated debt component on their balance sheet would need to watch out for further depreciation of Indian Rupee against the USD.

Ladies and gentlemen, hold on to your seats and watch the lift off of Indian economy. Stars are all lined up for India.

It is Sunday morning in America. Third Sunday of the year already. We have come out of a deep freeze and looking like a spring day almost!

NFL Playoffs are on later today with New England Patriots taking on the Jacksonville Jaguars in Foxboro (what a shocker!) and the Philadelphia Eagles taking on Minnesota Vikings.

But the talk of the Country today on Sunday Morning talk and news shows is this:

Great to see how hard Republicans are fighting for our Military and Safety at the Border. The Dems just want illegal immigrants to pour into our nation unchecked. If stalemate continues, Republicans should go to 51% (Nuclear Option) and vote on real, long term budget, no C.R.’s!